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Introduction: Domestic violence and abuse (DVA) are prevalent among persons with severe mental illness (SMI), being involved as victim, perpetrator, or both. Aims: To assess rates of DVA victimization and perpetration in patients with SMI. We also aimed to assess whether DVA victimization was associated with DVA perpetration, and whether this was mediated by dispositional anger in patients with SMI. Lastly, we aimed to examine whether gender moderated the associations between DVA victimization and perpetration. Methods: We conducted a nation-wide survey on victimization in patients with SMI. In 942 patients DVA perpetration of physical assault and victimization of physical assault, sexual coercion or psychological aggression over the past year were assessed using the revised Conflict Tactics Scale. Anger was assessed using the dispositional anger reactions scale. Correlation and mediation analyses were conducted, followed by a moderated mediation to assess whether effects of anger differed between men and women. Results: The prevalence rate of perpetration of physical assault was 22%, for victimization 27% and 52% for both. We found a strong positive correlation between perpetrated physical assault and victimization of mild physical assault and between both the perpetration and victimization of severe physical assault. Anger mediated the link between being a victim of psychological aggression and being a perpetrator of DVA. Women were more likely to perpetrate violence if they were victims of mild physical assault compared to men. Other moderation effects by gender were not observed. Conclusion and implications: This study reveals persistent high DVA rates among patients with SMI. Overall, anger had no mediating effect on the association between victimization and perpetration of violence, except for psychological aggression and perpetration of DVA. This study emphasizes the importance of routine violence discussions in SMI care while taking context into account. However, further research on underlying mechanisms and interventions to improve discussions and care for victims and/or perpetrators of DVA is necessary. [ABSTRACT FROM AUTHOR]

Evidence of violence has been documented previously in the late Holocene foraging communities of the south-western Cape of South Africa, but never suggested as a group attack by adversaries. Here we report on what appears to be a single violent event involving several individuals buried at the Faraoskop rock shelter. The human skeletal remains were reassessed for commingled parts and were re-assembled as individuals. Particular focus was placed on sex, age and osteological changes. The results show that the estimated number of individuals is 12 and not 14 as reported previously. Their preservation and completeness vary; eight have crania and four are without. Six individuals (50%) show peri-mortem fractures produced by localised blunt-force trauma to the skull or mandible; the particulars of the instruments remain unknown. No post-cranial remains show injuries. Five individuals with trauma are male and one is of unknown sex. With the exception of one, all fractures occur on the left side of the skull, which suggests that they were sustained through intentional rather than accidental action. Given that these traumas were most likely fatal, the presence of multiple blows on at least one individual (FK 2) implies an intention to kill. This case adds to the developing picture of violence among late Holocene foragers, though different in its higher prevalence of trauma in males than in females as reported previously. Together, the archaeological and bio-anthropological data from Faraoskop proposes that this incident might be the result of clashing between a hunter-gatherer group and a pastoralist one. [ABSTRACT FROM AUTHOR]

Childhood interpersonal violence exposure (IVE) is associated with repeated victimization in adolescence and adulthood. Research suggests dissociation, a psychological phenomenon characterized by alterations and disruptions to consciousness, memory, and perceptions of the environment, and out-of-body experiences, increases the risk of revictimization. Self-report data from a longitudinal study of 92 violence-exposed adolescent girls from a large, urban area were analyzed to assess whether dissociation predicts polyvictimization or exposure to multiple types of interpersonal violence across adolescence. Participants' mental and interpersonal health was assessed at four in-person laboratory visits scheduled across 3.5 years (i.e., T1–T4). IVE included direct or indirect victimization experienced at home, school, the neighborhood, or town, such as child maltreatment, domestic violence, peer victimization, dating aggression, and community violence. Polyvictimization was operationalized as a composite score of the different types of IVE endorsed by the participant or caregiver. A random-intercept cross-lagged panel model was used to test the bidirectional relationships between dissociation and polyvictimization longitudinally. Cross-lagged regressions were analyzed to determine whether dissociation and polyvictimization predicted subsequent dissociation symptoms and polyvictimization. Concurrent and previous dissociation significantly accounted for polyvictimization at T2, T3, and T4. Polyvictimization did not significantly predict future dissociation symptoms. The results from this study provide support for dissociation's unique contribution to polyvictimization among violence-exposed girls, making it an important target for clinical assessment and treatment. [ABSTRACT FROM AUTHOR]

Background: Gender-based violence (GBV) is a global public health problem. While research exists on GBV and associated help-seeking behaviors among university students, few studies have assessed the prevalence of GBV, including experiences and barriers to help-seeking, within sub-Saharan African university settings. Objectives: The objective of this study was to examine the prevalence of GBV victimization among university students in six sub-Saharan African countries and describe experiences of formal and informal help-seeking among students who self-identified as victims of GBV since attending university. Design: An online, cross-sectional survey study was administered to university students from July to October 2023 at nine participating universities in sub-Saharan Africa. Methods: Descriptive statistics were used to describe types of violence experienced among students (N = 2249). Bivariate analyses (t -tests, chi-square) and multivariate logistic regressions were used to examine demographic factors associated with formal and informal help-seeking behavior among a sub-sample of GBV victims (n = 298). Results: Among the 2249 sample of students, the prevalence of physical violence was 30.9%, 18.7% for sexual violence, 64.9% for psychological violence, and 63.7% for stalking. Among a sub-sample of GBV victims (n = 298), most (78.2%) sought informal help from friends, partners, or family members and less than one-third (29.5%) sought help from formal sources (e.g., university administrators, police). Logistic regression results indicated that university country was associated with formal help-seeking; that is, students in Ghana and Rwanda were over twice as likely to seek formal help than students in Nigeria (odds ratio (OR) = 2.58, 95% confidence interval (CI): 1.38–4.85, p < 0.01; OR = 2.62, 95% CI: 1.20–5.71, p < 0.05, respectively). While differences by gender were noted in formal help-seeking behavior at the bivariate level, gender was not associated with formal help-seeking after adjusting for GBV training and other demographics. Conclusion: GBV is a significant public health issue among university students in sub-Saharan Africa. University policies and prevention programs are needed to reduce GBV and increase the capacity of formal sources to effectively respond to GBV. [ABSTRACT FROM AUTHOR]

Introduction: Victims of interpersonal violence in sports show various mental health concerns. However, no studies have quantitatively examined their primary complaints, considering psychological symptoms such as denial of self-concept and interpersonal challenges not captured by conventional post-traumatic stress disorder (PTSD). Recently, an association between interpersonal violence victimization and complex PTSD (CPTSD) has been noted in Japanese sports coaching situations, specifically for extracurricular sports activities. This study aimed to examine the applicability of the International Trauma Questionnaire (ITQ) and determine whether interpersonal violence victimization and related risk factors predicted PTSD and CPTSD in extracurricular sports activities in Japan. Methods: This study included 651 adults aged 18–25 who had previously participated in extracurricular sports activities in junior high and high school. The ITQ was examined using confirmatory factor analysis with maximum likelihood with robust standard errors, fit indices comparisons, a graded response model, differential item functioning, and rank correlation designs. A binomial logistic regression model with robust standard errors examined the association of PTSD and CPTSD with interpersonal violence victimization and related risk factors. Results: The optimal factor structure, measurement precision, and validity of the ITQ were confirmed. Physical and psychological violence victimization and the ITQ were positively correlated with PTSD, difficulties in emotion regulation, self-disgust, and interpersonal problems subscales, respectively. A high frequency of psychological and physical violence victimization experiences and self-identified LGB (lesbian, gay, or bisexual) were associated with PTSD and CPTSD diagnosability. Additionally, being a woman and in school life away from parents were associated solely with PTSD diagnosability. Discussion: This is the first quantitative study to examine CPTSD in a study on interpersonal violence in sports. Our findings can provide insights into desirable victim support and enhanced clinical care in interpersonal violence in a sports context. [ABSTRACT FROM AUTHOR]

College women face heightened risk of interpersonal trauma, which is associated with co-occurring posttraumatic stress disorder (PTSD) and alcohol use. As engagement in alcohol use can lead to negative repercussions, particularly for those using it to cope with psychological distress, it is important to further understand the variables that underlie this association. We aimed to identify emotional and cognitive processes that mediate the relation between PTSD symptom severity and alcohol use consequences among women interpersonal trauma survivors. Thus, we investigated the potential indirect effect of PTSD symptoms on alcohol use consequences via emotion dysregulation and alcohol use motives using structural equation modeling. A sample of 526 college women completed surveys; only those who reported lifetime interpersonal trauma and current alcohol use were included (n = 184). We found that PTSD severity had a significant indirect effect on alcohol use consequences via emotion dysregulation and alcohol use coping motives (β = 0.01, 95% CI [0.01, 0.02]). After accounting for the effects of the mediators of emotion dysregulation and alcohol use coping motives, there was no longer a significant direct effect of PTSD symptoms on the negative repercussions of alcohol use (β = 0.08, SE = 0.09, 95% CI [-0.02, 0.17]). Thus, PTSD symptoms predicted more emotion dysregulation, which predicted higher alcohol use to cope, which was associated with worse consequences, nullifying the direct effect of PTSD on alcohol use consequences. These findings could enhance evidence-based practices surrounding screening, assessment, and intervention for posttraumatic sequelae and improve quality of life for survivors of interpersonal violence. [ABSTRACT FROM AUTHOR]

Past studies have highlighted the lack of independent formal complaint mechanisms as one of the most significant barriers to reporting interpersonal violence (IV) in sport. Some countries have since implemented complaint mechanisms specific to sport settings. Evaluations of similar mechanisms in other sectors could inform the development and implementation of complaint mechanisms for IV in sport. This rapid review included studies inside and outside the sport context to document the characteristics of complaint mechanisms of IV, barriers or limitations related to such mechanisms, and recommendations resulting from their evaluation. Following the Cochrane Rapid Reviews Interim Guidance, six databases were searched for peer-reviewed references in English or French, published between 2012 and 2022, and pertaining to the evaluation of formal reporting mechanisms of IV. The 35 references covered mechanisms mainly targeting IV in general (any type) or sexual violence specifically. Complaint mechanisms varied in scope and as a function of their setting, including work, university, military, and medical. We identified barriers and limitations concerning fear of consequences, lack of knowledge, lack of efficiency, lack of trust, and unsupportive culture. Finally, we documented 18 recommendations to improve complaint mechanisms of IV, spanning four categories: (a) organizational accountability, (b) awareness and accessibility, (c) adapted process, and (d) ongoing evaluation. This rapid review draws recommendations from various research disciplines and types of mechanisms to offer a comprehensive portrait of best practices. The findings show that numerous aspects of complaint mechanisms at multiple levels should be considered when developing and implementing complaint mechanisms of IV. [ABSTRACT FROM AUTHOR]

Purpose: Interventions focused on women – and mothers, in particular – who have experienced violence in relationships are critical to supporting both mothers and their children. Existing evaluation research on such interventions focuses almost exclusively on outcome evaluation. Yet, these interventions are often multifaceted, requiring strong theoretical foundations, systemic changes, and capacity building for stakeholders at multiple levels. The goal of the current study was to describe critical intervention and implementation factors associated with an interpersonal violence intervention for mothers in communities across Canada, by understanding mothers' experiences in the intervention. Method: Participants (N = 43, M = 30.14 years) were mothers in 11 different community-based projects. Participants completed interviews or focus groups following participation in a 6–8 week intervention, wherein they were asked open-ended questions about their experiences in the intervention. Results: Using a phenomenological approach, five key themes emerged as being particularly impactful to mothers' experiences in the intervention: readiness, group content, group structure, group characteristics, and the broader structure of the community-based projects. Conclusion: Themes mapped onto the overarching theoretical frameworks from which the intervention is based: supporting relationships, building safety, and leveraging the existing capacities of community-based organizations that serve vulnerable families. Results highlight aspects of the intervention and experience that emerged as important to those experiencing violence in relationships. [ABSTRACT FROM AUTHOR]

Women living with HIV face high social and structural inequities that place them at heightened risk for gender-based violence and mental health conditions, alongside health services access inequities, with almost no research done to better understand access to mental health services. This study therefore examined social and structural factors associated with barriers to counselling or therapy amongst women living with HIV who experienced lifetime physical and/or sexual violence in Metro Vancouver, Canada. Bivariate and multivariable logistic regression using generalized estimating equations (GEE) were used and adjusted odds ratios (AOR) and 95% Confidence Intervals ([95%CIs] are reported). From Sept/15-Aug/21, 1695 observations were collected among 279 participants. In multivariable analysis, with all variables measured in the last six months, experiencing any barriers to counselling or therapy was significantly associated with having thoughts or attempts of suicide (AOR:1.64 [1.02–2.66]), lacking coverage for health care (AOR:1.60 [1.17–2.18]), and everyday discrimination (AOR:1.02 [1.00-1.04]) and anticipated (AOR:1.57 [1.04–2.36]), enacted (AOR:1.48 [1.02–2.16]) or internalized (AOR:1.53 [1.07–2.20]) HIV stigma. Access to interdisciplinary mental health care services should be improved. Social and structural interventions to reduce HIV stigma and discrimination are urgently needed. [ABSTRACT FROM AUTHOR]

It is well-established that rates of interpersonal violence (IV; physical and emotional intimate partner violence [IPV], non-consensual sexual contact [NCSC], and stalking) peak at 18–24 years of age. Most emerging-adult IV research has been conducted with college samples, making increased risk for IV in college a widely held, but perhaps unjustified, assumption. This nationally representative study (N = 1025) assessed high school seniors on IV victimization and re-assessed them the spring following college enrollment (n = 779) or non-enrollment (n = 246). Replicating prior research, we found few differences in prevalences of IV among college-attending and non-attending emerging adults. After controlling for demographics and baseline victimization, only clinically significant (impactful) physical IPV victimization differed between groups, with college conveying a protective effect (OR = 38, 95% CI:.15 –.99). Explication of proximal and distal factors that inform risk for IV among emerging adults on different trajectories is essential for improved prevention and response. [ABSTRACT FROM AUTHOR]

Purpose: This article analyzes violence and abuse in LGBTIQ + people's former relationships. Combining assemblage theory with intersectionality, it rethinks queer and feminist understandings by analyzing intimate partner violence as assemblages. This offers a nuanced approach that does not rely on simplistic causal models. Methods: The article draws on a dataset of interviews with separated LGBTIQ + people, 30 in Finland and 28 in England. It focuses on 13 interviewees who gave accounts of mental, physical, and sexual violence within previous relationships. Following a Deleuze-inspired rhizomatic methodology, the analysis "enters in the middle" of complex abusive assemblages and identifies the most central elements and affective entanglements that helped to maintain and/or diminish the abuse. Results: Assemblages that engender and maintain abuse are complex and multiple. Nevertheless, they are not random: the rhizomatic workings of heteronormativity, the social status of LGBTIQ + relationships, and gender-related elements entangle in assemblages that amplify the effects of abuse and constrain participants' bodies. Conclusions: Abuse in LGBTIQ + people's relationships can be understood through the posthuman theoretical idea of distributed agency: abuse gains force in and through its entanglements with other elements within an assemblage. This does not absolve abusive persons of responsibility for their actions. Rather, it reveals that the efficacy of agency depends on the interactive forces and elements within an assemblage. Abuse and violence often accumulate, as the exposure of bodies to injurious conditions produces affective relations that can become patterned in LGBTIQ + people's lives. [ABSTRACT FROM AUTHOR]

Recent years have witnessed an unprecedented rise in attacks on women's rights and freedom in sub‐Saharan Africa. No historical quantitative research exists that analyzes how sexual, physical, and emotional violence against women is influenced by the rise of radical Islam in Nigeria. Consecutive survey data for the years 2008, 2013, and 2018 were analyzed to determine associations between religion and other risk factors for violence against women. Multiple logistic regression was used to control for covariates. Sexual violence against Muslim women increased by 216.7% compared to a 25.4% increase among Catholics. Muslim women with no education had a lower estimate of the sexual violence they experienced (β = −0.15, CI: −0.137 to −0.016) than Christian women with no education (β = −0.05, CI: −0.138 to −0.004). The risk of violence against women has increased in recent years due to the activities of Boko Haram in the Muslim‐dominant north. We show that the effects of religion and education on violence against women are interconnected. [ABSTRACT FROM AUTHOR]

Sicilian protohistory was characterized by a progressive flow of indigenous populations towards the hills of the western Sicilian hinterland. Especially during the Late Bronze Age and the Iron Age, the island's hinterland was marked by isolated settlements due to Siculi, Ausoni, Morgeti, and Elimi invasions and Phoenician and Greek colonization. In this scenario, Mokarta is an example of territorial autonomy and ethnic isolation (Sicanian) within an area of Elimi colonization. Its demise in the 11th century B.C.E, presumably at the hands of the Elimi, was rapid and violent as the settlement was suddenly abandoned following its destruction by fire. Symbolic of this event is an individual found at the entrance of a burned and collapsed hut who appears to have died from a cranial injury. This paper focuses on the osteological analysis of this skeleton, highlighting the perimortem injury, related to his death, and places the results within a forensic archeological context. The morphological pattern of the lesion is the result of a high‐energy impact by a circular blunt object. The fracture, involving both the meningeal vessels and the brain, could have led to a fatal neurological trauma. The analysis of the cranial fracture and an anatomical evaluation of the affected area led us to conclude that the perimortem injury, inflicted on the right parietal, probably was the cause of death. The case proposed highlights how an integrated approach based on bioarcheology and forensic anthropology helps in interpreting an archeological scenario and formulating hypotheses about the circumstances of an individual's death. [ABSTRACT FROM AUTHOR]

Objectives: To explore socio-behavioral, clinical, and imaging findings associated with antepartum intimate partner violence (IPV) and aid in risk stratification of at-risk individuals. Methods: We analyzed electronic medical records during indexed pregnancies for 108 pregnant patients who self-reported antepartum IPV (cases) and 106 age-matched pregnant patients who did not self-report antepartum IPV (controls). Sociodemographic, clinical, and radiology data were analyzed via chi-squared and Fisher's exact tests with p < 0.05 as the threshold for significance. Stepwise logistic regression was applied to derive a risk prediction model. Results: The proportion of cases reporting emotional IPV (76% vs. 52%) and/or physical IPV (45% vs. 31%) during pregnancy significantly increased from prior to pregnancy. Cases were significantly more likely to report prepregnancy substance use (odds ratio [OR] = 2.60; 95% confidence interval [CI]: 1.13–5.98), sexually transmitted infections (OR = 3.48; 95%CI: 1.64–7.37), abortion (OR = 3.17; 95%CI: 1.79, 5.59), and preterm birth (OR = 5.97; 95%CI: 1.69–21.15). During pregnancy, cases were more likely to report unstable housing (OR = 5.26; 95%CI: 2.67–10.36), multigravidity (OR = 2.83; 95%CI: 1.44–5.58), multiparity (OR = 3.75; 95%CI: 1.72–8.20), anxiety (OR = 3.35; 95%CI: 1.85–6.08), depression (OR = 5.58; 95%CI: 3.07–10.16), substance use (OR = 2.92; 95%CI: 1.28–6.65), urinary tract infection (UTI) (OR = 3.26; 95%CI: 1.14–9.32), intrauterine growth restriction (OR = 10.71; 95%CI: 1.35–85.25), and cesarean delivery (OR = 2.25; 95%CI: 1.26–4.02). Cases had significantly more OBGYN abnormalities on imaging and canceled more radiological studies (OR = 5.31). Logistic regression found housing status, sexually transmitted infection history, preterm delivery history, abortion history, depression, and antepartum UTI predictive of antepartum IPV. The risk prediction model achieved good calibration with an area under the curve of 0.79. Conclusions: This study identifies significant disparities among patients experiencing antepartum IPV, and our proposed risk prediction model can inform risk assessment in this setting. [ABSTRACT FROM AUTHOR]

Gun violence, often characterized as a singular issue, is not one cohesive problem. Instead, it takes many forms resulting from the complex interplay of multiple factors. Outcomes of gun violence also vary significantly. They may be (a) physically non-injurious (a gun is brandished), (b) injurious but non-lethal, or (c) lethal. To understand and address gun violence effectively, it is essential to consider various risk factors for both non-lethal and lethal gun violence victimization, using a comprehensive, comparative framework. We present a novel comparative framework for better understanding gun violence, and for developing policy responses to this violence. We disaggregate gun violence into its various forms and propose a conceptualization of risk factors in discrete categories, each with important implications for policy intervention. While we emphasize the value of this framework for understanding and combatting interpersonal gun violence in America, the research and policy approaches discussed here should be equally applicable to other international contexts with gun violence as a serious public health issue as well. [ABSTRACT FROM AUTHOR]

Interpersonal violence is a common type of trauma experienced by people with opioid use disorder (OUD), especially for people with co-occurring OUD and mental illness (COD). However, little is known about demographic and clinical characteristics of individuals with COD who have experienced an interpersonal violence traumatic event compared to those who have experienced a non-violent trauma, and how experiences of interpersonal violence are associated with treatment utilization. Data presented are from a randomized clinical trial testing collaborative care for COD in primary care. Of the 797 patients enrolled in the larger study, 733 (92%) were included in this analysis because they reported a traumatic event. In this sample, 301 (41%) participants experienced a traumatic event involving interpersonal violence. Participants who experienced interpersonal violence were more likely to be younger and female. Among the 301 people who experienced interpersonal violence, 30% experienced child sexual abuse, 23% experienced physical violence, 19% experienced domestic violence, and 28% experienced sexual assault. Those who experienced physical violence were significantly less likely to be female (28.6% vs 74.2% to 88.2% in other groups). Those who reported domestic violence had significantly fewer days of drug use (4.1 days vs 9.0 to 11.5 in the other groups) and lower opioid use severity scores (mean = 13.0 vs 16.6 to 19.5 in the other groups). Multivariable regression results examining the associations between interpersonal violence experiences on treatment utilization revealed no statistically significant differences. Rates of receipt were high for medication for opioid use disorder (∼80%) in this sample while rates of mental health counseling were around 35% and rates of receiving mental health medication around 48%. These findings make an important contribution to understanding the associations between patient characteristics and traumatic experiences, and receipt of treatment for OUD and mental health problems among a sample of patients with COD. Clinical trial registration: clinicalTrials.gov ID: NCT04559893 [ABSTRACT FROM AUTHOR]

Addressing interpersonal violence and environmental pollution as a global health crisis has expanded dramatically after the UN's post-2015 Action Agenda for Sustainable Development. This study investigates the asymmetric effects of environmental pollution, economic development, population growth, and unemployment on interpersonal violence across 24 OECD countries over the period 2000–2017 after controlling for human capital, health expenditures, government quality, and alcohol consumption. After confirming that the data are not uniformly distributed, panel quantile regression is employed. The results show that the effect of target variables on interpersonal violence varies across different quantile points. Environmental pollution and population growth appeared to be up-pulling determinants of interpersonal violence while economic growth and unemployment decrease interpersonal violence, especially at the higher quantiles of the distribution. For robustness checks, we further disaggregated interpersonal violence into physical (by the sharp object and by the firearm) and sexual violence. The findings are similar for physical violence, but a negative effect of air pollution on sexual violence is observed. Based on the estimated results, appropriate policy implications are reported to address interpersonal violence issues. [ABSTRACT FROM AUTHOR]

Within our research to address sexual violence, we have developed an approach supporting collaboration between young people and academic staff called YRAP (Young Researchers Advisory Panel). YRAP exists to support young people's influence in research addressing sexual violence – both in our university and beyond. In this article, current and former YRAP members, as well as current and former academic supporting staff, reflect on our experiences and learning. We also highlight the importance of finding new ways to explain the value and contribution of our work through the development of an infographic and model called Participation as Protection. [ABSTRACT FROM AUTHOR]

Women veterans (WVs) are more likely than men veterans to experience traumatic brain injury (TBI) from causes unrelated to deployment. Yet, current Veterans Health Administration (VHA) TBI screening focuses on deployment. This study examines the utility of the VHA TBI screening tool for WVs. Using the Boston Assessment for TBI-Lifetime (BAT-L) as the gold standard, sensitivity and specificity of the VHA screen were identified for deployment and non-deployment injuries. Injuries missed by the screen were thematically described. Sensitivity and specificity were compared by context (research, clinical). Ninety WVs were included; fifty-three (60.9%) met TBI criteria per the BAT-L. For TBIs occurring during deployment, sensitivity was higher in research (89.1%) compared to clinics (61.7%); specificity was lower in research (60.7%) compared to clinics (93.0%). The BAT-L identified 27 non-deployment TBIs not captured by the VHA screen, most frequently from physical assault or sports. The VHA screen does not include non-deployment events; thus, non-deployment sensitivity and specificity could not be calculated. For lifetime TBIs (deployment + non-deployment etiologies), sensitivity was higher in research (73.5%) compared to clinics (48.9%). Specificity was lower in research (60.0%) compared to clinics (100.0%). Findings can inform improvements to TBI screening among WVs, including expansion for interpersonal violence. [ABSTRACT FROM AUTHOR]

BACKGROUND: Interpersonal violence is a significant contributor to global morbidity, and affects young adults, particularly males. In Kenya, injuries, including those from interpersonal violence, are a leading cause of emergency department (ED) visits. OBJECTIVE: This study aims to evaluate the frequency, demographics, and types of injuries caused by interpersonal and intimate partner violence among patients presenting to the Kenyatta National Hospital (KNH) ED in Nairobi, Kenya. METHODS: This was a prospective cross-sectional study among injured adult patients presenting to the KNH ED. RESULTS: Of 665 enrolled patients, 82% identified as male and the median age was 30 years. Among enrollees, 257 (39%) reported ever having experienced physical, sexual, and/or emotional violence. Seventy-one patients reported a history of intimate partner violence; more than half had experienced intimate partner violence within the past 12 months. CONCLUSIONS: Research on interpersonal injuries in ED settings is lacking, but data from a single Kenyan ED reveals a significant portion of injured patients with a history of interpersonal and intimate partner violence. [ABSTRACT FROM AUTHOR]

I make two points about the role of threats for ethnographic fieldwork in contexts suffused by interpersonal violence. First, the experience of implicit and explicit threats operates as a powerful cultural agent that significantly transforms fieldworkers' relationship with the field. Second, subjecting oneself to threats can become a central component of the ethnographic immersion into the field. The notion of "threat wisdom" connects these two points by capturing the emerging competence to handle threats and resulting from "becoming threatened," "becoming threatful," and "becoming threat wise." To develop this argument, I discuss insights from my fieldwork with homeless people using cocaine, crack cocaine, heroin, and methamphetamine, in Barcelona. [ABSTRACT FROM AUTHOR]

IntroductionVictims of interpersonal violence in sports show various mental health concerns. However, no studies have quantitatively examined their primary complaints, considering psychological symptoms such as denial of self-concept and interpersonal challenges not captured by conventional post-traumatic stress disorder (PTSD). Recently, an association between interpersonal violence victimization and complex PTSD (CPTSD) has been noted in Japanese sports coaching situations, specifically for extracurricular sports activities. This study aimed to examine the applicability of the International Trauma Questionnaire (ITQ) and determine whether interpersonal violence victimization and related risk factors predicted PTSD and CPTSD in extracurricular sports activities in Japan.MethodsThis study included 651 adults aged 18–25 who had previously participated in extracurricular sports activities in junior high and high school. The ITQ was examined using confirmatory factor analysis with maximum likelihood with robust standard errors, fit indices comparisons, a graded response model, differential item functioning, and rank correlation designs. A binomial logistic regression model with robust standard errors examined the association of PTSD and CPTSD with interpersonal violence victimization and related risk factors.ResultsThe optimal factor structure, measurement precision, and validity of the ITQ were confirmed. Physical and psychological violence victimization and the ITQ were positively correlated with PTSD, difficulties in emotion regulation, self-disgust, and interpersonal problems subscales, respectively. A high frequency of psychological and physical violence victimization experiences and self-identified LGB (lesbian, gay, or bisexual) were associated with PTSD and CPTSD diagnosability. Additionally, being a woman and in school life away from parents were associated solely with PTSD diagnosability.DiscussionThis is the first quantitative study to examine CPTSD in a study on interpersonal violence in sports. Our findings can provide insights into desirable victim support and enhanced clinical care in interpersonal violence in a sports context.

Background In Tanzania, nearly half of ever-married women have experienced some form of intimate partner violence (IPV), yet little knowledge of IPV from the male perspective exists. Objective To explore the role of essential healthy lifestyle factors, diet, sleep, and exercise, and their potential role in IPV perpetration. Methods A cross-sectional survey was conducted with 1,002 young men (ages 18–24), 754 of which were in an intimate relationship in the previous year. The study took place in Mwanza, Tanzania and used multivariable logistic regression models to explore associations between male perpetration of IPV and diet, sleep, and exercise. Results Six types of IPV perpetration were investigated separately and the prevalence of controlling behaviours (79.4%), economic abuse (30.6%), emotional abuse (47.3%), physical violence (16.4%), sexual violence (23.3%), and combined physical and/or sexual violence (32.1%) were obtained. Regular exercise demonstrated a protective effect for economic abuse perpetration; the chance of mildly active individuals perpetrating economic abuse was 38% less than their inactive counterparts (p = 0.003). Associations with sleep were varied and did not show a clear directional relationship. Diet, defined as poor food variety, was positively associated with every IPV type except physical violence and was significant in sexual violence perpetration (aOR:1.57, 95%CI:1.21–2.05). Conclusions The results from this study indicate that considering healthy lifestyle behaviours – diet, sleep, and exercise – in the design of intervention programmes may be beneficial in reducing IPV perpetration in Tanzania, and that they should be considered alongside previously established evidence-based risk factors.

Abstract Purpose Preliminary studies have suggested that women are responsive to using technology to manage their health, due to its discreet, convenient, and cost-effective nature. Yet, there are limited mobile health (mHealth) apps specific to women’s needs, particularly those on probation. The purpose of this study was to explore features of 2 existing mHealth applications related to sexual health and safety, specific to interpersonal and sexual violence, to answer research questions related to the usability, barriers, and facilitators of mHealth app use for women on probation. Subjects We purposefully sampled from a local adult probation site and utilized snow-ball sampling to recruit 11 women who were on probation and owned iPhones. Methods We conducted an exploratory intervention development study using a qualitative design. Social Cognitive Theory was used for data synthesize and organization. Findings Three themes emerged: (1) It made me take time for myself; (2) It helped me to be more respectful of my body; (3) The connectivity….that was helpful. Major implications Participants expressed mHealth apps to be usable, feasible, accessible and promoted self-efficacy by allowing them track symptoms and patterns of behavior specific to health and safety in a discreet, convenient, and effective manner. This research suggests that a culturally tailored mHealth app may be an appropriate intervention to provide timely gender-responsive feedback, resources, and health care to women on probation.

The systems of asymmetrical dependency are those of coercive social relations, in which some actors control the actions or access to resources of others, and emic conceptions regarding power, inequality, work, experiences, and emotions are shared. The European invasion of America in the 16th century established a system with these characteristics. This type of relationship was strongly established in the field of metal production. This paper presents some results of a bioarchaeological investigation of a group of skeletons of people buried in a chapel located in a mineral hacienda from the Viceregal period. The impacts on health are analyzed through trauma, malformations, and infections in people of different sex and ancestry. The results show a correlation between the position in the asymmetrical dependency system and the types of fractures, but not with the malformations and infections. [ABSTRACT FROM AUTHOR]

The analysis of traumatic injuries in human skeletal remains from archaeological contexts offers important challenges for the reconstruction of past populations’ behaviors. In this study, a sample of 303 buried skeletons retrieved from the Etruscan necropolis of Spina (Ferrara, Italy) and dated back to the 5th to the 3rd century BC, were macroscopically analyzed for traumatic injuries. The sample consisted of 38% males, 22% females, and 40% undetermined individuals. Subadults represented 25% of the entire sample. The aim of this study was to collect and describe new data on antemortem and perimortem injuries in the Spina Etruscans, bringing a new perspective to the understanding of social behaviors in this population. In the sample of Etruscans examined 16 individuals showed evidence of one injury and two individuals of two injuries. The analysis revealed 18 cases of antemortem trauma and 2 cases of perimortem trauma. No traumatic injuries were detected among subadults, while men and women presented different types of traumas: women were more prone to stress fractures involving the spine, whereas men were affected by antemortem and perimortem inflicted traumas, suggesting a division of labor and a major exposition of the latter to interpersonal violence. The reduced presence of sharp force traumas found exclusively in males (3 cases, 1.3% of the adult sample) is basically consistent with archaeological and historical data that described this site as a free port without an explicit history of violence. [ABSTRACT FROM AUTHOR]

Little is known about service utilization among female entertainment workers (FEWs) after experiencing gender-based violence (GBV). This study explored factors associated with post-GBV service utilization among FEWs in Cambodia. We included 299 FEWs, who experienced any forms of GBV in the past 12 months. This study highlights low access (14.05%) to post-GBV services among FEWs. Factors associated with post-GBV services utilization were marital status, living conditions, mental health, and types of entertainment venues. To improve post-GBV services utilization, ensuring quality, and availability of services are required. Further research is needed to develop pathways toward a supportive environment for FEWs to access these services. [ABSTRACT FROM AUTHOR]

The present study offers novel insight into the topic of experienced and observed emotional abuse by researching factors that affect athletes' responses to emotional abuse by coaches. The research aimed to explore three main questions: (1) whether athletic identity was associated with the prevalence of emotionally abusive coaching practices, and (2) disclosure of emotional abuse, and (3) whether demographic variations existed in the frequency of emotional abuse, athletic identity, and disclosure of the abuse. Study participants who filled in an anonymous digital survey consisted of athletes from elite to leisure levels living in Finland (N = 3687, aged 12-80, gender 61% female, 37.7% male, 0.8% other genders). The research findings highlighted three key insights. Firstly, Pearson correlations revealed that a salient athletic identity was related to a higher prevalence of emotional abuse. Secondly, ANOVA/Kruskal-Wallis tests between-groups indicated that particularly children were susceptible to the abuse. Thirdly, a mediation analysis showed that self-identity (aspect of athletic identity) influenced the relationship between experienced emotional abuse and disclosure, by reducing disclosure. As a result, holistic identity development is recommended for athletes and particularly children in sports. [ABSTRACT FROM AUTHOR]

Patriarchal and homophobic legal restrictions and societal stigma create an unsafe environment for Lesbian, Gay, Bisexual, Transgender, Queer/Questioning, and more (LGBTQ+) survivors of intimate partner violence (IPV) in the Eastern Caribbean. This pilot study investigated IPV through an online survey and found that LGBTQ+ and heterosexual participants experienced IPV at about the same rate. A higher percentage of GBQ males had experienced physical and verbal violence compared to LBQ females. This research suggests patterns that are worth investigating with a larger LGBTQ+ sample. Suggestions for future research and recommendations for screening and support services for LGBTQ+ survivors of IPV in the Eastern Caribbean are included. [ABSTRACT FROM AUTHOR]

Background: Interparental aggression is believed to increase the risk of behavioral disorders in offspring, and offspring behavioral problems may forecast interparental aggression. However, these assumptions have yet to be put to a strong test. This study, therefore, examined whether increased interparental aggression predicted increased symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD) from preschool to adolescence and vice versa. Methods: A sample (n = 1,077; 49.6% girls) from two birth cohorts of children in Trondheim, Norway, was assessed biennially from age 4 to 16. Children's symptoms of ODD and CD were assessed using semi‐structured clinical interviews of parents (from age 4) and children (from age 8). One of the parents reported on their own and their partner's verbal and physical aggression. A random intercept cross‐lagged model was estimated to test the within‐family relations between interparental aggression, CD, and ODD symptoms. Results: Across development, increased interparental aggression predicted increased CD symptoms 2 years later, whereas an increased number of ODD symptoms forecasted increased interparental aggression. Conclusions: The argumentative/defiant, aggressive, and vindictive behaviors seen in ODD are often directed toward parents and may take a toll on their relationship and possibly foster interparental aggression, whereas aggression between parents may promote symptoms of CD in their offspring, which commonly extend beyond the home. Incorporating effective and non‐aggressive means to solve interparental conflict into parental management programs may reduce the development of symptoms of CDs in children. [ABSTRACT FROM AUTHOR]

Interpersonal violence (IV) is a serious concern for adolescents in the United States that has devastating impacts for individuals and communities. Given the increased importance placed on friendships during adolescence, the purpose of the current study was to examine the extent to which IV experiences cluster within youths' friendship networks. Participants were students (N = 1303) in grades 7th to 10th who completed surveys at the beginning and end of an academic year. Results showed that friends' average perpetration (i.e., the percentage of the friends they nominated who perpetrated IV) was strongly associated with likelihood of individual perpetration at baseline but not at the follow‐up. For victimization, friends' average report of victimization (i.e., the percentage of the friends they nominated who were victimized) was associated with higher likelihood reporting of victimization (at both baseline and follow‐up). Although future research is needed to understand explanatory mechanisms underlying these findings, it is possible that the effectiveness of prevention initiatives may be enhanced by incorporating peer group information. Highlights: This study examined how victimization and perpetration cluster within adolescents' social networks.Utilization of social network analyses allowed us to understand interactions between youth and their peers over time.Longitudinal findings provide support for the importance of victims' peer networks over time. [ABSTRACT FROM AUTHOR]

Nationwide shelter-in-place (SIP) orders during the pandemic have had long-lasting effects, including increased rates of domestic violence and interpersonal violence. Screening for violence varies by institution, which tool is used, and when. Given increases in burn and trauma admissions over the course of the pandemic, we sought to examine trends at our institution during this time period to better guide care and anticipate system-level effects. We performed a retrospective cohort study of pediatric burn and adult burn and trauma patients at our level 1 trauma/burn center between March-May 2019 and March-May 2020. Home safety screening was performed by nursing staff using a 1-part screening questionnaire. Patients presenting before March 15, 2020, were defined as "pre-SIP; " between March 16-May 19, 2020, were "during SIP; " and those after May 19, 2020, were designated as "post-SIP." Descriptive and chi-square statistics were used. Demographic, injury patterns, and screening information were collected. Blunt trauma comprised 60% of injuries, followed by burns (30%) then penetrating injury (7%). Over the entire time period analyzed, 1822 patients had documented home safety screening; ∼2% of patients screened reported a safety concern pre-SIP, compared to 3% of patients during SIP. There were higher rates of burns and penetrating injury during SIP compared to other periods (P ≤ 0.0001). Home safety screening rates were 94%-95% pre- and during SIP, but dropped to 85% post-SIP (P < 0.0001). Home safety concerns were reported almost 2% of the time pre-SIP and 3% during SIP (P = 0.016). We noted an increase in trauma and burns during and after SIP orders, consistent with the experiences of other institutions. Implementation of a nurse-driven screening process demonstrated high compliance with appropriate referrals. The burden of burn and traumatic injury remains significant, highlighting a need for continued psychosocial screening and the provision of psychosocial support resources in the acute trauma setting. [ABSTRACT FROM AUTHOR]

There is a dearth of scientific knowledge regarding suicidal ideation (SI) and adverse childhood experiences (ACEs) in Haiti. We conducted a community survey with a convenience sample of 673 residents from Haiti's Cité Soleil (January - June 2021) to address these gaps. Participants answered questions on SI, on ACEs from the ACE international questionnaire (ACE-IQ) section 5 abuse-related items, on adult experiences of non-partner sexual violence, on use of alcohol to manage stress and on trauma responses. Latent Class Analysis identified a five-class-model of poly-victimization ranging from Class 1 (no abuse) to Class 5 (combination of emotional, physical, and sexual abuse). SI prevalence was 65.3%. Women were nearly twice as likely as men to report SI (95% CI = 1.08–2.74). Class 1 comprised 25% of participants. Class 5 members were almost four times more likely to endorse SI than Class 1 members (95% CI = 1.52–9.10). Class 4 members were roughly four times more likely to endorse SI than Class 1 members. (95% CL = 1.83–7.81). Class 3 members were nearly twice as likely to endorse SI as Class 1 members (95% CI = 1.03–3.35). Participant survivors of NPSV were three times more likely to report SI than non-victims (95% CI = 1.61–5.67). Alcohol use to manage stress increased odds of SI by 1.59 (95% CI = 1.01–2.52). Hypervigilance increased the odds of SI by 3.21 (95% CI = 1.84–5.58). Limitations include recall bias, non-generalizability, use of self-reported data, and ACE-IQ's limitations. Early identification and prevention of SI, ACE, NPSV, alcohol use, and trauma are warranted. [ABSTRACT FROM AUTHOR]

This article presents a frequent dilemma of treatment-seeking mothers suffering from complex posttraumatic stress disorder (PTSD) that is related to exposure to maltreatment and other forms of interpersonal violence. Namely, that complex PTSD symptoms, including dissociative states in mothers that are triggered by normative child emotion dysregulation, aggression, and distress during early childhood, hinder the development of a productive psychotherapeutic process in more traditional psychodynamic psychotherapies for mothers and children. The article thus presents clinician-assisted videofeedback exposure (CAVE) that characterizes a recently manualized brief psychotherapy for this population, called CAVE-approach therapy (CAVEAT). CAVEAT can be used on its own or to preface a deeper process using child-parent psychotherapy or other non-videofeedback-enhanced psychodynamic models. A clinical illustration is provided. [ABSTRACT FROM AUTHOR]

Purpose: Preliminary studies have suggested that women are responsive to using technology to manage their health, due to its discreet, convenient, and cost-effective nature. Yet, there are limited mobile health (mHealth) apps specific to women's needs, particularly those on probation. The purpose of this study was to explore features of 2 existing mHealth applications related to sexual health and safety, specific to interpersonal and sexual violence, to answer research questions related to the usability, barriers, and facilitators of mHealth app use for women on probation. Subjects: We purposefully sampled from a local adult probation site and utilized snow-ball sampling to recruit 11 women who were on probation and owned iPhones. Methods: We conducted an exploratory intervention development study using a qualitative design. Social Cognitive Theory was used for data synthesize and organization. Findings: Three themes emerged: (1) It made me take time for myself; (2) It helped me to be more respectful of my body; (3) The connectivity....that was helpful. Major implications: Participants expressed mHealth apps to be usable, feasible, accessible and promoted self-efficacy by allowing them track symptoms and patterns of behavior specific to health and safety in a discreet, convenient, and effective manner. This research suggests that a culturally tailored mHealth app may be an appropriate intervention to provide timely gender-responsive feedback, resources, and health care to women on probation. [ABSTRACT FROM AUTHOR]

Safeguarding athletes from interpersonal violence (IV) in sport is an important topic of concern. Athlete Health and Performance (AHP) team members working with athletes have a professional, ethical, and moral duty to protect the health of athletes, prevent IV, and intervene when it occurs. However, little is known on their respective roles regarding IV in sport and their needs to fulfill their responsibility of safeguarding athletes. The aim of this review is to synthesize knowledge about the roles, readiness to change and training needs of AHP team members to navigate IV in sport. A total of 43 articles are included in the review. Results show that all AHP team members have a role to play in safeguarding athletes and should therefore be trained in the area of IV in sport. Overall, very little research has directly assessed AHP team members' needs to positively foster safety and eliminate IV in sport. There are common training needs for all types of AHP team members such as the ability to recognize signs and symptoms of IV in sport. However, there are also specific needs based on the role of the AHP team members such as ways of facilitating behavioural change for sport managers. Findings from this review are mostly experts' recommendations and should therefore be interpreted as such. The results of the review can guide the development of future research and recommendations. [ABSTRACT FROM AUTHOR]

The decision of the South African Constitutional Court in AK v. Minister of Police has implications for law enforcement agencies that fail the victims of crime. In this matter, the plaintiff sued the Minister and others for damages after officers had failed to rescue her from the perpetrator(s) of a protracted sexual assault and to conduct an adequate criminal investigation afterwards. The judgment deals with a noteworthy psycholegal issue, namely, whether the police are liable for any harm resulting from the plaintiff’s continued trauma exposure beyond the moment a competent search would have likely resulted in her rescue, when her trauma exposure was already prolonged. In this paper, we consider whether the interpretation of the expert evidence is consistent with the relevant research. Research suggests the psychological harm caused by police negligence may have been more than a matter of extended trauma exposure but also of supplemental trauma appraisals. [ABSTRACT FROM AUTHOR]

Background and aims: Quantifying the health burden of alcohol has largely focused upon harm to drinkers, which is an underestimate. There is a growing literature on alcohol's harm to others (HTO), but it lacks the systematic transfer of HTO into a comparative risk assessment framework. This study calculated disability‐adjusted life years (DALYs) for fetal alcohol spectrum disorder (FASD), interpersonal violence and traffic injury due to another's drinking. Design: This study is a disease burden analysis, using modelling of DALYs for New Zealand in 2018. Setting and participants: The study took place among the Aotearoa/New Zealand population in 2018. Measurements The involvement of others' drinking was obtained from prevalence, alcohol‐attributable fraction studies and administrative data. Disability weights (DW) for FASD were adapted from fetal alcohol syndrome (FAS) weights using a Beta–Pert probability distribution; for interpersonal injury, DWs used hospital events linked with injury compensation; for traffic injury, DWs used hospital events. Populations were stratified by ethnicity, age group and gender. A descriptive comparison was made with a previous estimate of DALYs for drinkers. Findings In 2018, 78 277 healthy life years were lost in Aotearoa/New Zealand due to alcohol's HTO. The main contributor (90.3%) was FASD, then traffic crashes (6.3%) and interpersonal violence (3.4%). The indigenous population, Māori, was impacted at a higher rate (DALYs among Māori were 25 per 1000 population; among non‐Māori 15 per 1000 population). The burden of HTO was greater than that to drinkers (DALYs HTO = 78 277; DALYs drinkers = 60 174). Conclusions: Disability from fetal alcohol spectrum disorder (FASD) appears to be a major contributor to alcohol's harm to others in Aotearoa/New Zealand. Taking FASD into account, the health burden of harm to others is larger than harm to the drinker in Aotearoa/New Zealand, and ethnicity differences show inequity in harm to others. Quantification of the burden of harm informs the value of implementing effective alcohol policies and should include the full range of harms. [ABSTRACT FROM AUTHOR]

PRACTICE IMPACT STATEMENTThe current study examined sexual coercion among Latinx female college students in New York City. It identified frequently reported sexual coercion tactics and disclosure behaviours, delineating these experiences by race and cultural values. Latinx women (N = 158) from several public colleges were surveyed, and 49.4% (n = 78) experienced sexual coercion – with most reporting helplessness tactics (39.2%; n = 62). No differences were found among race, although this sample of Black Latinx students endorsed coercion more often than non-Black students. Most participants sought informal support, and specifically disclosed to a female friend (82.9%, n = 34). Lastly, attitudes toward familism and religiosity did not affect disclosure in this sample. These findings highlight the nuances of young Latinx women’s sexual experiences and have implications for sexual violence education for Latinx youth. It also has implications for college mental health professionals working with Latinx students with histories of sexual coercion.Due to the nature of negative sexual experiences experienced among youth, sexual education curriculum and prevention training in educational institutions must emphasise the importance of sexual consent and identifying appropriate and inappropriate sexual advances. Curriculum must be tailored towards the demographics and respective potential cultural contexts of school district populations. College mental health professionals should be properly trained on how sexual coercion manifests in college-age relationships in addition to current training on identifying sexual harassment, sexual assault, and alcohol/drug induced rape. [ABSTRACT FROM AUTHOR]

Low levels of social support are related to negative health outcomes, representing further obstacles to recovery from substance use disorder (SUD). This study examined relationships among stressors, symptoms and social support in 124 women and 102 men engaged in two outpatient public sector substance use treatment programs. Multiple linear regression analyses were utilized to assess relationships between variables of interest and social support. Men reported significantly lower social support than women. Food insecurity was associated with lower social support for men (β= -13.6 [95% CI -26.7, -0.4], p = 0.04). When examining emotional support and tangible aid, victimization history was related to lower support (both types) for women while food insecurity was associated with lower support (both types) for men. Depression was related to lower emotional support among both men and women. Substance use treatment programs should explicitly target social support and related stressors to facilitate recovery for the individuals they serve. [ABSTRACT FROM AUTHOR]

Intimate partner violence (IPV), including intimate partner homicide (IPH) and femicide, raises issues for general theories of crime, such as control and opportunity theories, that see close relationships among friends and family as barriers to interpersonal crimes. Crime-specific studies of both correlates and trends in IPV, including recent interrupted trend studies that examine the effects of COVID restrictions, often test opportunity theories absent considerations of theoretically driven images of actors. Review of empirical research on IPV and IPH reveals strong compatibility between the predictions of modern control theory and consistent findings from trend data. Barriers to understanding of the explanatory power of general theories of crime (including, for example, control theories and feminist perspectives) in contemporary research include use of poor definitions of intimacy, misspecification of age effects, failure to consider the versatility of offending behavior, neglecting the importance of trends in analogous behaviors, neglecting the role of situational factors in violence, and the limitations in the measurement of repetitive victimization. Theories such as routine activity and situational crime prevention that fail to explicitly include characteristics of actors can go only a limited way in providing meaningful policy. Research supports the potential policy effects of investments in early childhood and attention to situational barriers (including limitations on alcohol use and firearm availability) to reduce IPV. Although modern control theory is used to illustrate these issues, other general theories, like feminist theories, can make similar arguments. [ABSTRACT FROM AUTHOR]

Survivors of campus sexual assault are often tasked with healing while sharing an environment with their perpetrators. However, little is known about the effects of a shared environment on survivor well-being. A qualitative thematic analysis design was employed to address this gap. We conducted semi-structured interviews with nine female survivors who identified their perpetrators as fellow students at a large state university in the southeastern U.S. The five themes that emerged are situated within an ecological framework, which is also used to guide our recommendations for supporting survivors' well-being within higher education. [ABSTRACT FROM AUTHOR]

A challenge in safeguarding children from interpersonal violence (IV) in sport is the reliance on self-disclosures and a limited understanding of the frequency, barriers to and process of disclosures of IV. Through a mixed-methods design, combining survey and interviews, we explored the frequencies of childhood disclosures of experiences of IV in Australian community sport as well as who children disclosed to and how the interaction unfolded. Those who experienced peer violence disclosed at the highest frequency (35%), followed by coach (27%) or parent (13%) perpetrated IV. A parent/carer was most often the adult that the child disclosed to. Interviews highlighted how the normalisation of violence influenced all aspects of the disclosure and elements of stress buffering (normalising or rationalising) particularly underpinned the disclosure interaction. Policies and practices should explicitly identify all forms of IV in sport as prohibited conduct; education and intervention initiatives should target parents as first responders to disclosures. [ABSTRACT FROM AUTHOR]

Abstract Introduction Widespread concern exists in today’s world regarding self-harm and interpersonal violence. This study to analyze the changes in temporal trends and spatial patterns of risk factors and burdens of self-harm and interpersonal violence using the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019. Methods Temporal trends in self-harm and interpersonal violence were initially summarized using the estimated annual percentage change (EAPC). Data were compiled and visualized to delineate changes in disease burden and factors influencing self-harm and interpersonal violence from 1990 to 2019, stratified by gender, age and GBD region. Results In 2019, the DALY rates of self-harm were 424.7(95% UI 383.25, 466.93). Over the period from 1999 to 2019, self-harm exhibited an overall decreasing trend, with the EAPC of -1.5351 (95% CI -1.6194, -1.4507), -2.0205 (95% CI -2.166, -1.8740) and -2.0605 (95% CI -2.2089, -1.9119), respectively. In contrast, the incidence rate of interpersonal violence was significantly higher than self-harm, with a rate of 413.44 (95% UI 329.88, 502.37) per 100,000 population. Mortality and DALYs of interpersonal violence were lower than those of self-harm, at 5.22 (95% UI 4.87, 5.63) and 342.43 (95% UI 316.61, 371.55). Disease burden of self-harm and interpersonal violence varied by gender, age groups and region. Specific risk factors showed that alcohol use, high temperature and drug use were the main risk factors for self-harm, while alcohol use, intimate partner violence and high temperature were associated with interpersonal violence. Low temperature was a common protective factor for both self-harm and interpersonal violence. The burden of self-harm and interpersonal violence was attributed to different factors influences in different SDI regions. Conclusions The study explored temporal trends and spatial distribution of the global disease burden of self-harm and interpersonal violence, emphasizing the significant impact of factors such as alcohol use, temperature, and drug use on disease burden. Further research and policy actions are needed to interpret recent changes of disease burden of self-harm and interpersonal violence, and dedicated efforts should be implemented to devise evidence-based interventions and policies to curtail risk factors and protect high-risk groups.